Customer Service Satisfaction Report

  Person Calling:                               Date:                                

  Equipment Serviced:                           Date Returned:                         

  Customer Name:                                Telephone:                               

  Contacted:þ Yes, Spoke with                                              
           þ No, Left message with                                              



                            Telephone Conversation

  Opening Message:                                   Initial Customer Feelings:

  "Hi I'm                                                           andVery Happyþ
  we serviced your                                   Satisfied      þ
  last       /      /       and I'm following up to see if everythingUnhappyþ
  was handled correctly and if there is anything that we can do                                     
  for you.:                                                                               

  Comments:                                                                                                              
                                                                                                                               
                                                                                                                              
  "Would you help us by answering the following questions about your service?

      "Were you treated courteously?"                þ Yes     þ No
      "Was the                    ready when promised?"þ Yes   þ No
      "Was your                    as clean as when you sent it in?"þ Yesþ No
      "Is there anything we can do to improve our service?"                                                
                                                                                                                           

  Do you feel the customer's feelings towards the company improved by the end of your                
  conversation?                                                                                                          
                                                                                                                              
  Approximate time spent talking with customer:                                   
  Additional Comments or Follow-up action:                                                                    
                                                                                                                              
                                                                                                                              
  Copy To: